Dental
Tavallaei, D.M.D., Corporation
Tavallaei, D.M.D., Corporation was paid $2.46M by Medicaid between Aug 2019 and Nov 2024, across 34 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 54% of everything it billed.
33Billing provider infoTAVALLAEI, D.M.D., CORPORATION
SACRAMENTO, CA 95825
SACRAMENTO, CA 95825
33aNPI1992008098assigned 12/10/2010
33bProvider typePediatric Dentist
28Total paid$2.46M
24GClaims27,263
24DCodes billed34
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#89 of 332
Median peer was paid$450K
This provider vs. median5.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 254 | $9K | |
| 2020 | 747 | $32K | |
| 2021 | 4,521 | $407K | |
| 2022 | 4,377 | $476K | |
| 2023 | 9,780 | $948K | |
| 2024incomplete | 7,584 | $592K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 54% | 8,798 | 8,675 | $1.32M |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 6.9% | 164 | 164 | $169K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.9% | 867 | 246 | $146K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 791 | 479 | $99K |
| D0350 | 3.6% | 972 | 393 | $89K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 3.2% | 154 | 153 | $78K |
| D8660 | 3.1% | 3,069 | 3,055 | $76K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 817 | 398 | $73K |
| D0470 | 2.3% | 1,236 | 1,093 | $57K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 2,250 | 1,252 | $53K |
| D9310 | 1.9% | 936 | 935 | $47K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 1,035 | 935 | $39K |
22 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.6% | 361 | $39K |
| D9222 | 1.0% | 154 | $25K | |
| D0340 | <1% | 619 | $24K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,256 | $23K |
| D9610 | <1% | 236 | $18K | |
| D1120 | Dental cleaning, child | <1% | 329 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 273 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 132 | $11K |
| D8680 | <1% | 25 | $9K | |
| D0330 | Panoramic radiographic image | <1% | 1,195 | $8K |
| D1999 | <1% | 930 | $8K | |
| D1206 | Topical application of fluoride varnish | <1% | 248 | $5K |
| D1510 | <1% | 17 | $4K | |
| D2332 | <1% | 29 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 155 | $2K |
| D1354 | <1% | 81 | $2K | |
| D1352 | <1% | 37 | $1K | |
| D1351 | Sealant - per tooth | <1% | 35 | $1K |
| D0120 | Dental checkup, returning patient | <1% | 16 | $720.00 |
| D1310 | <1% | 15 | $690.90 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 16 | $560.00 |
| D0603 | <1% | 15 | $225.30 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTAVALLAEI, MONICA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Tavallaei, D.M.D., Corporation | Folsom, CA | $2.15M |
| Tavallaei, D.M.D., Corporation | Elk Grove, CA | $2.08M |
| Tavallaei, D.M.D., Corporation | El Dorado Hills, CA | $488K |
| Tavallaei, D.M.D., Corporation | Rocklin, CA | $436K |
| Tavallaei, D.M.D., Corporation | Auburn, CA | $295K |
| Tavallaei DMD Corp | Lincoln, CA | $167K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.